基于循证原则的耗材准入管理实践
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摘要
循证管理作为一种方法学工具,能够对医用耗材的技术优势和经济价值进行科学评估,保证临床学科发展的同时甄选最符合性价比的产品入选医院准入目录。目前这种方法已在上海交通大学附属第六人民医院耗材准入领域广泛开展应用,通过制定相应的政策和流程来规范耗材准入、配置和使用,从经验管理转变为立足于证据的采购管理,改变原先的"唯临床论",将循证管理方法应用到耗材管理的各个环节,在保证医用耗材的使用安全和质量控制下,降低成本,以促进医用耗材费用趋向合理。
As a methodological tool, evidence-based management can assess the technological advantages and economical value of medical consumables scientifically, and select the most cost-effective products into the hospital access directory with guarantees of the development of clinical disciplines. Now this method has been widely used for consumable access management in our hospital. Policies and processes have been established to normalize the assess,allocation, and usage, and the management mode is transformed from experience-based management into evidence-based management. With clinical nominalism being changed, the method of evidence-based management can be used for every link of comsumble management, to reduce the costs and ensure the safety and quality of medical consumables at the same time, so as to promote the rational cost of medical consumables.
As a methodological tool, evidence-based management can assess the technological advantages and economical value of medical consumables scientifically, and select the most cost-effective products into the hospital access directory with guarantees of the development of clinical disciplines. Now this method has been widely used for consumable access management in our hospital. Policies and processes have been established to normalize the assess,allocation, and usage, and the management mode is transformed from experience-based management into evidence-based management. With clinical nominalism being changed, the method of evidence-based management can be used for every link of comsumble management, to reduce the costs and ensure the safety and quality of medical consumables at the same time, so as to promote the rational cost of medical consumables.
引文
1杨海.医用耗材的循证管理.中国医疗器械杂志,2009,33(2):134-136.
2杨海.通过加强医用耗材管理降低病人负担.现代医院管理,2007,5(3):21-23.
3杨海,唐密,李斌,等.基于医院技术评估的医用耗材管理探索.中国卫生资源,2018,21(2):101-105.
4杨海.医用耗材定价中循证评价及经济学评价的作用.中国医疗器械杂志,2010,34(3):221-223.
5欧盟AdHopHTA项目组.欧洲医院卫生技术评估:手册与工具包.何江江,王海银,译.上海:上海交通大学出版社,2017:136-141.
6何江江,耿劲松,何达,等.欧盟医院技术评估项目对中国的启示.中国卫生资源,2018,21(2):94-100.
7唐密,杨海.我院新增医用耗材采购流程及入选标准探讨.中国医疗设备,2018,33(10):162-165.
8何达,杨海,王海银,等.医院技术评估部门的组织模式探讨.中国卫生资源,2018,21(2):90-93.
9管红珍,彭智聪,傅鹰.循证医学中文献证据等级标准的系统性综述.药物流行病学杂志,2002,11(3):145-148.
10李静,李幼平,刘鸣.卫生技术评估与循证医学.华西医学,2000,15(1):6-9.
11张琼,吴静炯,霍兴平.浅谈医用耗材采购管理.中国医疗设备,2013,28(2):80-81.
12张锦.医疗器械的购置与供应管理//中华医学会医学工程学分会第十五次全国学术年会论文汇编.厦门:中华医学会医学工程学分会,2015:S-022.
13金燕萍,马俊,杨海,等.两种透明敷料固定中心静脉导管效果观察与成本比较.现代临床护理,2018,17(3):80-83.
14中华人民共和国国家卫生和计划生育委员会.静脉治疗护理技术操作规范:WS/T 433-2013,2013.
2杨海.通过加强医用耗材管理降低病人负担.现代医院管理,2007,5(3):21-23.
3杨海,唐密,李斌,等.基于医院技术评估的医用耗材管理探索.中国卫生资源,2018,21(2):101-105.
4杨海.医用耗材定价中循证评价及经济学评价的作用.中国医疗器械杂志,2010,34(3):221-223.
5欧盟AdHopHTA项目组.欧洲医院卫生技术评估:手册与工具包.何江江,王海银,译.上海:上海交通大学出版社,2017:136-141.
6何江江,耿劲松,何达,等.欧盟医院技术评估项目对中国的启示.中国卫生资源,2018,21(2):94-100.
7唐密,杨海.我院新增医用耗材采购流程及入选标准探讨.中国医疗设备,2018,33(10):162-165.
8何达,杨海,王海银,等.医院技术评估部门的组织模式探讨.中国卫生资源,2018,21(2):90-93.
9管红珍,彭智聪,傅鹰.循证医学中文献证据等级标准的系统性综述.药物流行病学杂志,2002,11(3):145-148.
10李静,李幼平,刘鸣.卫生技术评估与循证医学.华西医学,2000,15(1):6-9.
11张琼,吴静炯,霍兴平.浅谈医用耗材采购管理.中国医疗设备,2013,28(2):80-81.
12张锦.医疗器械的购置与供应管理//中华医学会医学工程学分会第十五次全国学术年会论文汇编.厦门:中华医学会医学工程学分会,2015:S-022.
13金燕萍,马俊,杨海,等.两种透明敷料固定中心静脉导管效果观察与成本比较.现代临床护理,2018,17(3):80-83.
14中华人民共和国国家卫生和计划生育委员会.静脉治疗护理技术操作规范:WS/T 433-2013,2013.